June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Visual outcome after trifocal intraocular lens implantation in high myopic patient with different Meta-PM grading fundus appearance
Author Affiliations & Notes
  • Hua Fan
    Central South University, Changsha, Hunan, China
  • Footnotes
    Commercial Relationships   Hua Fan None
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Investigative Ophthalmology & Visual Science June 2023, Vol.64, 2525. doi:
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      Hua Fan; Visual outcome after trifocal intraocular lens implantation in high myopic patient with different Meta-PM grading fundus appearance. Invest. Ophthalmol. Vis. Sci. 2023;64(8):2525.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : This study is to investigate visual outcome after implantation of PanOptix in META-PM grade 0 , grade 1 and grade 2 with low risk of macular pathological progression high myopic eyes.

Methods : A total of 32 eyes with high myopia (axial greater than 26mm or spherical equivalence is less than -6.00D) diagnosed as cataract were implanted with a trifocal intraocular lens (PanOptix) in our hospital. PM macular staging is divided into three groups: META-PM 0 grade group (13 eyes), META-PM 1 grade group (10 eyes) and META-PM 2 grade group (9 eyes). The visual acuity, fundus and META-PM staging before operation, 1 day after operation, 1 week after operation and 1 month after operation were analyzed.

Results : The mean age was 55.48±11.63y. The preoperative average axial length was 26.37±1.38mm, the average spherical equivalent was -7.94±3.57, the average preoperative corrected distance visual acuity (Logmar) was 0.38±0.38. There was no statistically difference of postoperative uncorrected distance visual acuity (Logmar) (0.04±0.12 in grade 0 group, 0.09±0.16 in grade 1 group and 0.12±0.19 in grade 2 group ), uncorrected intermediate visual acuity (0.07±0.14 in grade 0 group, 0.17±0.14 in grade 1 group and 0.14±0.17 in grade 2 group), and uncorrected near visual acuity (0.06±0.09 in grade 0 group, 0.19±0.16 in grade 1 group and 0.18±0.16 in grade 2 group) between the three groups(P>0.05) after 1-month follow-up. One week after the operation, 2 patients developed intraocular hypertension of 21mmHg-30mmHg, and they all returned to normal after discontinuation of corticosteroids, and no other complications occurred.

Conclusions : Uncorrected distance vision of high myopia with META-PM grade less than grade 3 after trifocal intraocular lens implantation were all significantly improved compared with preoperative corrected distance vision. META-PM grade was not correlated with postoperative visual acuity after trifocal intraocular lens implantation with META-PM grade less than 3 after 1-month follow-up. Long term follow-up result needs further study.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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